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    Severe acute respiratory syndrome (SARS) is a serious form of

    pneumonia. It is caused by a virus that was first identified in 2003.

    Infection with the SARS virus causes acute respiratory distress

    (severe breathing difficulty) and sometimes death.

    World Health Organization (WHO) physician Dr. Carlo Urbani

    identified SARS as a new disease in 2003.

    He diagnosed it in a 48-year-old businessman who had

    traveled from the Guangdong province of China, through

    Hong Kong, to Hanoi, Vietnam. The businessman and thedoctor who first diagnosed SARS both died from the illness.

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    SARS is the first severe and readily transmissible new disease

    to emerge in the 21st century

    The 2003 outbreak had an estimated 8,000 cases and 750

    deaths.

    A cumulative total of 7761 probable cases, with 623 deaths, isreported from 28 countries. Of this total, 5209 cases and 282

    deaths are reported from mainland China.

    On 5 July 2003- WHO reported that the last human chain of

    transmission of SARS in that epidemic had been broken

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    SARS is caused by a member of the coronavirus family of viruses

    (the same family that can cause the common cold).

    Coronaviruses are a family of enveloped, single-strandedRNA

    viruses causing disease in humans and animals.

    The term "SARS-CoV infection" is used when referring to the

    transmission of the SARS coronavirus and includes both

    symptomatic and asymptomatic infections.

    http://www.ncbi.nlm.nih.gov/pubmedhealth/n/pmh_adam/A000678/http://www.ncbi.nlm.nih.gov/pubmedhealth/n/pmh_adam/A000678/http://www.ncbi.nlm.nih.gov/pubmedhealth/n/pmh_adam/A000678/http://www.ncbi.nlm.nih.gov/pubmedhealth/n/pmh_adam/A000678/
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    It is believed the 2003 epidemic started when the virus spread from smallmammals in China.

    The etiological agent, the SARS Coronavirus (SARS-CoV) is believed to be

    an animal virus that crossed the species barrier to humans recently when

    ecological changes or changes in human behavior increased opportunities

    for human exposure to the virus and virus adaptation, enabling human-to-human transmission.

    The masked palm civet is most often associated with animal-to-human

    transmission; however, whether the civet is the natural reservoir of

    SARS-like coronaviruses remains unproven. The modes and routes of

    inter-species transmission from animals to humans or to other animal

    species need further investigation.

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    SARS Virus can transmitted through inhalation of respiratory droplet

    aerosols; virus can also be spread via the fecal-oral route, and through

    fomites

    When someone with SARS coughs or sneezes, infected droplets spray into

    the air.

    The SARS virus may live on hands, tissues, and other surfaces for up to 6

    hours in these droplets and up to 3 hours after the droplets have dried.

    Live virus has even been found in the stool of people with SARS, where it

    has been shown to live for up to 4 days. The virus may be able to live for

    months or years when the temperature is below freezing.

    Symptoms usually occur about 2 to 10 days after coming in

    contact with the virus.

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    Clinical evidence for SARS Public Health Surveillance

    A clinical case of SARS is an individual with:

    1. A history of fever, or documented fever 38 C (100.4 F). AND

    2. One or more symptoms of lower respiratory tract illness (cough,

    difficulty breathing, shortness of breath) AND3. Radiographic evidence of lung infiltrates consistent with pneumonia

    or ARDS or autopsy findings consistent with the pathology of

    pneumonia or ARDS without an identifiable cause. AND

    4. No alternative diagnosis can fully explain the illness.

    Period of communicabilityFrom onset of symptoms until 10 days after resolution of fever.

    Communicability is variable..

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    SARS has affected persons in all age groups; there has been a slight

    predominance of female patients. The majority of the cases are adults.

    Children are less commonly affected than adults and usually have a milder

    illness. The commonest age group is 25-70 yrs. old.

    Viruses in the coronavirus family are known for their ability to change(mutate) in order to spread among humans.

    It is stable in feces and urine at room temperature for at least 1-2 days.

    Higher in stools from patients with diarrhea (the pH of which is higher

    than that of normal stool).

    But heating to 56C inactivates SARS-CoV relatively quickly. Furthermore,the agent loses its infectivity after exposure to different commonly-used

    disinfectants and fixatives.

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    Treatment:

    There is currently no specific treatment for SARS.

    It is recommended individuals infected with SARS be treated with the same

    techniques as any other severe pneumonia.

    Antibiotics to treat bacteria that cause pneumonia

    Antiviral medications

    High doses of steroids to reduce swelling in the lungs

    Oxygen, breathing support (mechanical ventilation), or chest therapy

    Methods of Prevention and Control:

    Maintain good personal hygiene Wear a mask properly

    Keep the environment clean and hygienic

    Ensure good ventilation

    Adopt a healthy lifestyle

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    Rules and Regulation:

    Form two groups (Volunteers, assigned, Boys vs. Girls, Row 1 vs. Row 2 etc.)

    Each group will have five representatives. The score of the other students will depend on the

    performance of their chosen group.

    There will be 3 questions to be answer. Two same questions will be asked to each group and

    the other one will be picked by the member.

    Each group will be given 2 minutes to answer the three questions.

    While the first group is answering, the 2nd group will stay outside.

    The first question will be given to the first member then send to the next member and so on,

    until the last member receive it and write the answer on the paper provided.

    After answering the first question they can now proceed to the next question then third

    question.

    If the first member already knows the answer he can directly send it to the next member.Bawal magpass or magproceed agad sa next question if they didnt know the answer.

    They cant change or replace the answer. Wrong spelling is wrong. No superimposition.

    The group who will finish in a short period of time and got all the correct answers will win.

    There will be a tie breaker question in case of draw.

    The winner will get a 20/25/30 and the loser will get 5/10/15 out of 30.